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AM Report: Atrial fibrillation

AF_with_RVR-Ashmans_phenomenon-RBBB_aberrancy

Thanks to Nayiri for a great final AM report on atrial fibrillation!

Learning points:
– Etiology of atrial fib = PIRATES (Pulm, Ischemic, Rheumatic heart, Anemia/Atrial myxoma, Thyroid, Ethanol, Sepsis)
– Diamond-Forrester definition of typical angina = (1) substernal, (2) onset w/ exertion or emotional stress, (3) relieved w/ rest or nitrate
AFFIRM (2002): rate control had equivalent outcomes to rhythm control w/ less adverse events
RACE II (2010): lenient rate control (HR<110 at rest) as effective as strict (HR<80 at rest)

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